1. Center for the Treatment and Study of Traumatic Stress (CTSTS) Patrick A. Palmieri, Ph.D. Director, CTSTS Trauma Informed Care Advisory Committee Meeting February 27, 2014

2. 2 CTSTS Staff  Patrick Palmieri, Ph.D. – Director, CTSTS  Joseph Varley, M.D. – Chair, Psychiatry  Ellen Harrington, Ph.D. – Staff Psychologist  Brittain Lamoureux, Ph.D. – Staff Psychologist  Erin Farrer, Ph.D. – Staff Psychologist  Amanda Shea, Ph.D. – Postdoctoral Fellow  4 Graduate Student Clinical Trainees  6 Undergraduate Research Assistants

3. 3  The mission of the CTSTS is to be a Center of Excellence for the treatment and investigation of trauma and its consequences Mission

4. 4  The mission of the CTSTS is to be a Center of Excellence for the treatment and investigation of trauma and its consequences  Clinical Services  Education/Training  Research We are the only integrated traumatic stress center in our region Mission

5. 5 Community Partners  Community Mental Health Centers  Primary Care clinics  Battered Women’s Shelters  OHIOCARES / Ohio National Guard  Law enforcement community / CIT  Kent State University, University of Akron  Summit County Sexual Assault Coalition  And others  As well as emerging collaborations (e.g., via telehealth)  Also national partners

6. 6 Example Types of Traumatic Events  Physical or sexual assault (e.g., being beaten, shot, or raped)  Military combat  Terrorist attacks  Natural disasters (for example, earthquakes, floods, or hurricanes)  Serious accidents (for example, car or workplace accident)  Sudden or violent loss of a loved one  Childhood abuse  Domestic violence  War & other forms of political violence  Bullying in schools  School shootings  Gang-related violence

7. 7 Common Symptoms of Traumatic Stress  Emotions  Fearfulness or Anxiety  Mood swings  Overly sensitive/Over-reactive  Anger  Depression  Thoughts  Irrational beliefs/Guilt  Trust issues  Suicidal thoughts  Behaviors  Poor coping skills  Sleep problems/Nightmares  Social withdrawal  Aggression  Suicidal behavior  Avoidance

8. 8 Clinical Services  Referrals from numerous sources…  Assessment/Evaluation  Inpatient consults  Screening (primary care, inpatient psych, outpatient psych, elsewhere)  Comprehensive evaluations (including some forensic evaluations)  Individual Psychotherapy  Prolonged Exposure Therapy  Cognitive Processing Therapy  Other empirically supported interventions  Group Psychotherapy  Dialectical Behavior Therapy  Cognitive Processing Therapy  Sleep and Nightmare Treatment  Psychoeducation (inpatient and outpatient)  Trauma Intensive Outpatient Program (IOP)  Pharmacotherapy  As an adjunct to psychotherapy

9. 9 Education/Training  Training next generation of providers  Clinical trainees from Psychology, PC, MFT, and other programs  Postdoctoral fellows receiving advanced clinical and research training  3 rd year Psychiatry Residents completing 3-month rotations  Clinical and research courses for medical students and psychiatry residents  Training current professionals  Inpatient psychiatry; primary care; medical departments; TIC initiatives  And in outside organizations  Conducting and sponsoring educational events  Grand Rounds, Half- and Full-Day conferences/workshops  Participation, consultation, collaboration on local/state/national initiatives, policies, and other community or system efforts  Over 50 undergraduate and graduate psychology students and Summa summer research fellows have had research training and experience

10. 10 Research  Over 25 intra- and inter-institutional research teams have been established and supported  Over 60 research faculty involved from Summa, KSU, U of Akron, and other local, state, national, and international institutions  Summa: Psychiatry, Emergency Medicine, Trauma Medicine, Surgery, ObGyn, Internal Medicine, Family Medicine, Oncology, Nursing, Women’s Health, Bariatrics, Pain Management, Cardiac Rehabilitation  KSU: Psychology, Nursing, Sociology, Philosophy, Criminal Justice, Family and Consumer Studies, Human Development Center, Institute for Study and Prevention of Violence  National Centers for PTSD – Boston and Palo Alto  Local/state/federal govt grants; Private grants; Internal grants  Professional presentations at local, regional, state, national, and international venues  Publications in high-impact, peer-reviewed professional journals

11. 11 Example Research Projects/Topics  PTSD risk screening for returning military personnel  PTSD risk screening for hospitalized children  PTSD treatment development for battered women residing in shelters  Trauma and disordered eating  Impact of trauma on physical health  Integrated care; Service delivery; Healthcare reform; ACOs  Integrated trauma and substance use treatment  Early diversion programs  Trauma-focused telehealth services  Virtual reality-based PTSD treatment  Treatment outcome; Program evaluation; QA/QI

12. Center for the Treatment & Study of Traumatic Stress Summa St. Thomas Hospital 4th Floor Ambulatory Building, Suite 420 444 North Main Street Akron, OH 44310 Ph: (330) 379-5094 Fax: (330) 379-5095 ctsts@summahealth.org